{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T00:05:39Z","timestamp":1756339539898,"version":"3.44.0"},"reference-count":6,"publisher":"BMJ","issue":"10","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,10,2]]},"published-print":{"date-parts":[[2021,10]]},"abstract":"<jats:p>Myxomas arising from the left ventricle (LV) are extremely rare and can be easily mistaken for a thrombus. We report a case of a 35-year-old man who presented with an acute cerebrovascular accident, having had a prior history of an anterior wall myocardial infarction 2 years back with an echocardiographic evaluation showing mild LV systolic dysfunction. His present prothrombotic workup revealed hyperhomocystinaemia and elevated levels of factor VIII. Present echocardiography revealed a mass arising from a scarred LV wall. Considering the possibility of a thrombus, he was initially started on parenteral anticoagulation. Unfortunately, consequent echocardiogram evaluation showed no reduction in size of the LV mass hence surgical removal was done. Histopathological evaluation unveiled the mass to be a myxoma.<\/jats:p>","DOI":"10.1136\/bcr-2021-245963","type":"journal-article","created":{"date-parts":[[2021,10,19]],"date-time":"2021-10-19T13:11:57Z","timestamp":1634649117000},"page":"e245963","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Left ventricular apical mass after myocardial infarction\u2014not always a thrombus: a diagnostic dilemma"],"prefix":"10.1136","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6181-3828","authenticated-orcid":false,"given":"Jayanty Venkata","family":"Balasubramaniyan","sequence":"first","affiliation":[{"name":"Cardiology, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1193-9710","authenticated-orcid":false,"given":"Judah Nijas","family":"Arul","sequence":"additional","affiliation":[{"name":"Cardiology, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7868-2115","authenticated-orcid":false,"given":"Jebaraj","family":"Rathinasamy","sequence":"additional","affiliation":[{"name":"Cardiology, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thangavel","family":"Periyasamy","sequence":"additional","affiliation":[{"name":"Cardiothoracic and Vascular Sugery, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2021,10,19]]},"reference":[{"key":"2025082710095502000_14.10.e245963.1","doi-asserted-by":"crossref","unstructured":"Asinger RW , Mikell FL , Elsperger J . Incidence of left-ventricular thrombosis after acute transmural myocardial infarction serial elevation by two-dimensional echocardiography. New E Engl J Med 1981;305.doi:10.1056\/NEJM198108063050601","DOI":"10.1056\/NEJM198108063050601"},{"key":"2025082710095502000_14.10.e245963.2","first-page":"621","article-title":"[Heart tumors: incidence, distribution, diagnosis. 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